P Praxis·MD
● Active Type 2 · Organization

Marsha Jordan Holloway, Llc

Dentist·Tifton, GA· NPI 1992856918 · Enumerated 2007 · 19 years on NPI
Marsha Jordan Holloway, Llc is 1 of 526 dentist organizations in Georgia.
NPI age
19 years
Enumerated 2007-01-16
Primary specialty
Dentist
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cooper
Insurance Coordinator
Last NPPES update
2020-08-22
Source: monthly bulk 2026-05

How this organization compares

Across 526 active dentist providers in Georgia.

NPI age
19 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
200 12th St W, Suite F
Tifton, GA 317943978
📞 2293861616fax 2293864828
Mailing address
200 12th St W, Suite F
Tifton, GA 317943978
📞 2293861616fax 2293864828

Authorized official

Amanda Cooper
Insurance Coordinator
📞 2293861616

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Dentist Primary
    That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and...
    GA license #010688 taxonomy 1223X0400X

Practice context

Multi-provider organization. 1 individual provider on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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